Long Island Geriatric Medical Assoc Pc | |
108 Ivy St Oyster Bay NY 11771-3504 | |
(516) 942-7740 | |
(516) 942-7740 |
Full Name | Long Island Geriatric Medical Assoc Pc |
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Speciality | General Practice |
Location | 108 Ivy St, Oyster Bay, New York |
Authorized Official Name and Position | Eugene Raber (PHYSICIAN/OWNER) |
Authorized Official Contact | 5169427740 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Long Island Geriatric Medical Assoc Pc 108 Ivy St Oyster Bay NY 11771-3504 Ph: (516) 942-7740 | Long Island Geriatric Medical Assoc Pc 108 Ivy St Oyster Bay NY 11771-3504 Ph: (516) 942-7740 |
NPI Number | 1497946735 |
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Provider Enumeration Date | 08/01/2007 |
Last Update Date | 08/01/2007 |
Identifier | Type | State | Issuer |
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1497946735 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
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